Provider Demographics
NPI:1164751905
Name:AMAX CAREGIVERS
Entity Type:Organization
Organization Name:AMAX CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELLI
Authorized Official - Middle Name:G
Authorized Official - Last Name:LOCEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-800-0820
Mailing Address - Street 1:2170 CENTURY PARK E APT 307
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2207
Mailing Address - Country:US
Mailing Address - Phone:310-788-7777
Mailing Address - Fax:
Practice Address - Street 1:2170 CENTURY PARK E APT 307
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2207
Practice Address - Country:US
Practice Address - Phone:310-788-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care